JMDK Healthcare LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

JMDK HEALTHCARE LLC

Practice address

7177 Brockton Ave Ste 108
Riverside, CA 92506-2632

Phone

(800) 200-7177

Fax

(909) 219-9939

NPI assigned

Oct 9, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lamberto Valiente

Title

Administrator

Phone

(800) 200-7177

Specialties & licenses 1

Addresses

Other names 1

• Compassionate Care Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A01762

Legal name

JMDK HEALTHCARE LLC

Doing business as

COMPASSIONATE CARE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 1, 2020

Last certification

Jun 1, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

7177 Brockton Ave
Ste 108
Riverside, CA 92506-2632

Listed as

Compassionate Care HospiceCCN A01762

Ownership

For-Profit

Certified

Jun 1, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Pranav Rajendra Barve, M.D.

  • Internal Medicine Physician
  • Wildomar, CA
  • NPI 1972899839

  Operational/Managerial Control

  CMS ownership
• Michelle Opsahl, M.D.

  • Family Medicine Physician
  • Loma Linda, CA
  • NPI 1083728729

  Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Pranav Rajendra Barve, M.D.

  • Internal Medicine Physician
  • Wildomar, CA
  • NPI 1972899839

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1073088720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7177 BROCKTON AVE STE 108",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062632",
            "telephone_number": "800-200-7177",
            "fax_number": "909-219-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 BROCKTON AVE STE 108",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062632",
            "telephone_number": "800-200-7177",
            "fax_number": "909-219-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMDK HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "VALIENTE",
        "authorized_official_first_name": "LAMBERTO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "800-200-7177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Care Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prateek Jindal, DO
• Salina M Jivan, OTD, OTR/L
• Jkim Nursing, Inc
• JMC Pharmacy, Inc.
• JMC Pharmacy, Inc.
• Jerine Francillia Jno-Charles
• Philip Jo, DDS
• Stephanie Yun-Ji Jo
• Joa Corporation
• Roshni Jogin, DO

• Community Based Hospice Care Agency in Riverside, CA
• Providers in Riverside, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.